IndividualActive
Kenneth Wilson, PHARM.D.
NPI 1376145482 · Pharmacist · Cahokia, IL
Kenneth Wilson, PHARM.D. is a Pharmacist provider in Cahokia, IL (NPI 1376145482).
Provider details
- NPI number
- 1376145482
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 051.303473 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1201 Camp Jackson Rd
Cahokia, IL 62206-2231
Phone: (618) 332-2904
Street-level locationGet directions
Mailing address
1009 Main St
Prairie Du Rocher, IL 62277-2258
Registry dates
- Enumerated
- 2020-11-13
- Last updated
- 2020-12-02
- Certified
- 2020-11-16
Frequently asked questions
- What is Kenneth Wilson's NPI number?
- Kenneth Wilson's National Provider Identifier (NPI) is 1376145482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Wilson's specialty?
- Kenneth Wilson is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Kenneth Wilson located?
- Kenneth Wilson's practice location on file with NPPES is 1201 Camp Jackson Rd, Cahokia, IL 62206-2231.
- What is Kenneth Wilson's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Wilson is (618) 332-2904.
- Is Kenneth Wilson's NPI active?
- Yes — Kenneth Wilson's NPI (1376145482) is active in the NPPES registry as of the last update on 2020-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.